GOOD SAMARITAN HOSPICE OF MADISON INC.
NPI 1639202435
Hospice Care, Community Based in Madison, AL

NPI Status: Active since March 13, 2007

Contact Information

540 HUGHES RD
SUITE 12
MADISON, AL
ZIP 35758
Phone: (256) 767-4799
Fax: (256) 767-4798

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 01D1036754
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 02-08-2027

About GOOD SAMARITAN HOSPICE OF MADISON INC.

This page provides the complete NPI Profile along with additional information for Good Samaritan Hospice Of Madison Inc., a provider established in Madison, Alabama operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1639202435 assigned on March 2007. The practitioner's primary taxonomy code is 251G00000X with license number 78274 (AL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Rick Cantrell (Ceo)

NPI
1639202435
Provider Name
GOOD SAMARITAN HOSPICE OF MADISON INC.
Entity Type
Organization
Location Address
540 HUGHES RD SUITE 12 MADISON, AL 35758
Location Phone
(256) 767-4799
Location Fax
(256) 767-4798
Mailing Address
135 GEMINI CIR STE 202 BIRMINGHAM, AL 35209
Mailing Phone
(205) 949-0400
Mailing Fax
(256) 767-4798
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
03-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
78274
License State
AL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICK CANTRELL

Authorized Official Title
CEO
Authorized Official Phone
(205) 949-0400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D1036754
Facility Type
Hospice
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. MARILYN SALADA-LIGON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Good Samaritan Hospice Of Madison Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GOOD SAMARITAN HOSPICE OF MADISON INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639202435
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266940446
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 0 + 4 + 4 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1639202435 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700861713 JEANINE MARIE LONCAR MD
Individual
Obstetrics & Gynecology540 HUGHES RD SUITE 7
MADISON, AL 35758
(256) 533-7420
1992777627DR. ANGELO MANCUSO DO
Individual
Dermatology (Procedural Dermatology)540 HUGHES RD
MADISON, AL 35758
(256) 772-9996
1043252331DR. RAMAKRISHNA VENNAM M.D.
Individual
Internal Medicine540 HUGHES RD SUITE 2
MADISON, AL 35758
(256) 772-0573
1053325779DR. JAMES TION LIM O.D.
Individual
Optometrist540 HUGHES RD SUITE 11
MADISON, AL 35758
(256) 772-4005
1316142680DR. LANA LEIGH BOWDOIN DMD
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)540 HUGHES RD SUITE 4
MADISON, AL 35758
(205) 999-6274
1811163033DR. CHARLES MORGAN ROUSSEAU D M D
Individual
Dentist540 HUGHES RD STE 4
MADISON, AL 35758
(256) 464-3556
1295806867 JANET B NESIN PT, NDT
Individual
Physical Therapist540 HUGHES RD SUITE 8
MADISON, AL 35758
(256) 461-9654
1659442242DR. JANINE E NESIN PT, DPT, OCS
Individual
Physical Therapist540 HUGHES RD SUITE 8
MADISON, AL 35758
(256) 461-9654
1396716387MADISON OPEN MRI, LLC
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))540 HUGHES RD SUITE 5
MADISON, AL 35758
(256) 461-8808
1720129307ALBERT E. WILLIS, D.M.D., M.D., P.C.
Organization
Clinic/Center (Oral and Maxillofacial Surgery)540 HUGHES RD SUITE 6
MADISON, AL 35758
(256) 464-7873
1184024630 ALBERT WILLIS II D.M.D., M.D.
Individual
Oral & Maxillofacial Surgery540 HUGHES RD SUITE 6
MADISON, AL 35758
(256) 464-7873
1134518475 LAUREN ROY DPT
Individual
Physical Therapist540 HUGHES RD SUITE 8
MADISON, AL 35758
(256) 461-9654
1861881104DR. MEREDITH SYX TAYLOR DPT
Individual
Physical Therapist540 HUGHES RD SUITE 8
MADISON, AL 35758
(256) 461-9654
1336779370 SHARON LEIGH WILSON FNP
Individual
Hospice Care, Community Based540 HUGHES RD
MADISON, AL 35758
(256) 772-8108
1356646210 MATTHEW L THOMPSON LPC
Individual
Counselor (Mental Health)540 HUGHES RD
MADISON, AL 35758
(256) 631-7898
1942829502BLUE SKY COUNSELING SERVICES LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))540 HUGHES RD
MADISON, AL 35758
(256) 631-7898
1992039770 TIFFANY M JOHNSON DPT
Individual
Physical Therapist540 HUGHES RD SUITE 8
MADISON, AL 35758
(256) 461-9654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639202435, enumerated in the NPI registry as an "organization" on March 13, 2007

The provider is located at 540 Hughes Rd Suite 12 Madison, Al 35758 and the phone number is (256) 767-4799

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 01D1036754 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.